La disfunción autonómica en la enfermedad por reflujo gastroesofágico. El eje neurogastro-cardiaco: ¿amigo o enemigo?

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Title: La disfunción autonómica en la enfermedad por reflujo gastroesofágico. El eje neurogastro-cardiaco: ¿amigo o enemigo?
Alternate Title: Autonomic dysfunction in gastroesophageal reflux disease. The neurogastro-cardiac axis: friend or foe?
Authors: Sobrino-Cossío, Sergio1,2 (AUTHOR) ssobrinocossio@gmail.com, Cossío-Aranda, Jorge3 (AUTHOR), Galvis-García, Elymir S.1,4 (AUTHOR), Mateos-Pérez, Gualberto1,2 (AUTHOR), Teramoto-Matsubara, Óscar2,5 (AUTHOR), González-Hermosillo, Jesús A.6 (AUTHOR), Alvarenga, Juan C. López7 (AUTHOR), Azizoglu, Mustafa8,9 (AUTHOR), Remes-Troche, José M.10 (AUTHOR)
Source: Cirugía y Cirujanos. mar/abr2025, Vol. 93 Issue 2, p211-220. 10p.
Subjects: HEART beat, AUTONOMIC nervous system, VAGAL tone, GASTROESOPHAGEAL reflux, DYSAUTONOMIA
Abstract (English): Gastroesophageal reflux disease (GERD) is a complex and highly prevalent entity. Impaired gut-brain communication is associated with autonomic dysfunction. Modulation of the autonomic nervous system controls gastrointestinal functions. In GERD, a decrease in vagal tone (parasympathetic activity) and an increase in sympathetic activity with autonomic balance shifted towards the sympathetic system have been reported. Clinical questionnaires and non-invasive measurement of heart rate variability may be useful in patients with GERD to detect autonomic dysfunction. Restoration of parasympathetic system activity (mainly neuromodulation), with subsequent improvement of parasympathetic activity, will reduce the intensity of autonomic symptoms and GERD, improving quality of life. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La enfermedad por reflujo gastroesofágico (ERGE) es una condición compleja y altamente prevalente. El deterioro de la comunicación intestino-cerebro está asociado a la disfunción autonómica. La modulación del sistema nervioso autónomo controla las funciones gastrointestinales. En la ERGE se han reportado una disminución del tono vagal (actividad parasimpática) y un aumento de la actividad simpática, con el equilibrio autónomo desplazado hacia el sistema simpático. Los cuestionarios clínicos y la medición de la variabilidad de la frecuencia cardiaca, método no invasor, pueden ser útiles en los pacientes con ERGE para detectar la disfunción autonómica. La restauración de la actividad del sistema parasimpático (principalmente neuromodulación), con la subsecuente mejoría de la actividad parasimpática, disminuirá la intensidad de los síntomas autonómicos y de la ERGE, mejorando la calidad de vida. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: La disfunción autonómica en la enfermedad por reflujo gastroesofágico. El eje neurogastro-cardiaco: ¿amigo o enemigo?
– Name: TitleAlt
  Label: Alternate Title
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  Data: Autonomic dysfunction in gastroesophageal reflux disease. The neurogastro-cardiac axis: friend or foe?
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Sobrino-Cossío%2C+Sergio%22">Sobrino-Cossío, Sergio</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> ssobrinocossio@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Cossío-Aranda%2C+Jorge%22">Cossío-Aranda, Jorge</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Galvis-García%2C+Elymir+S%2E%22">Galvis-García, Elymir S.</searchLink><relatesTo>1,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mateos-Pérez%2C+Gualberto%22">Mateos-Pérez, Gualberto</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Teramoto-Matsubara%2C+Óscar%22">Teramoto-Matsubara, Óscar</searchLink><relatesTo>2,5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22González-Hermosillo%2C+Jesús+A%2E%22">González-Hermosillo, Jesús A.</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alvarenga%2C+Juan+C%2E+López%22">Alvarenga, Juan C. López</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Azizoglu%2C+Mustafa%22">Azizoglu, Mustafa</searchLink><relatesTo>8,9</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Remes-Troche%2C+José+M%2E%22">Remes-Troche, José M.</searchLink><relatesTo>10</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Cirugía+y+Cirujanos%22">Cirugía y Cirujanos</searchLink>. mar/abr2025, Vol. 93 Issue 2, p211-220. 10p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22HEART+beat%22">HEART beat</searchLink><br /><searchLink fieldCode="DE" term="%22AUTONOMIC+nervous+system%22">AUTONOMIC nervous system</searchLink><br /><searchLink fieldCode="DE" term="%22VAGAL+tone%22">VAGAL tone</searchLink><br /><searchLink fieldCode="DE" term="%22GASTROESOPHAGEAL+reflux%22">GASTROESOPHAGEAL reflux</searchLink><br /><searchLink fieldCode="DE" term="%22DYSAUTONOMIA%22">DYSAUTONOMIA</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Gastroesophageal reflux disease (GERD) is a complex and highly prevalent entity. Impaired gut-brain communication is associated with autonomic dysfunction. Modulation of the autonomic nervous system controls gastrointestinal functions. In GERD, a decrease in vagal tone (parasympathetic activity) and an increase in sympathetic activity with autonomic balance shifted towards the sympathetic system have been reported. Clinical questionnaires and non-invasive measurement of heart rate variability may be useful in patients with GERD to detect autonomic dysfunction. Restoration of parasympathetic system activity (mainly neuromodulation), with subsequent improvement of parasympathetic activity, will reduce the intensity of autonomic symptoms and GERD, improving quality of life. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La enfermedad por reflujo gastroesofágico (ERGE) es una condición compleja y altamente prevalente. El deterioro de la comunicación intestino-cerebro está asociado a la disfunción autonómica. La modulación del sistema nervioso autónomo controla las funciones gastrointestinales. En la ERGE se han reportado una disminución del tono vagal (actividad parasimpática) y un aumento de la actividad simpática, con el equilibrio autónomo desplazado hacia el sistema simpático. Los cuestionarios clínicos y la medición de la variabilidad de la frecuencia cardiaca, método no invasor, pueden ser útiles en los pacientes con ERGE para detectar la disfunción autonómica. La restauración de la actividad del sistema parasimpático (principalmente neuromodulación), con la subsecuente mejoría de la actividad parasimpática, disminuirá la intensidad de los síntomas autonómicos y de la ERGE, mejorando la calidad de vida. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.24875/CIRU.25000022
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      – Code: spa
        Text: Spanish
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      – SubjectFull: HEART beat
        Type: general
      – SubjectFull: AUTONOMIC nervous system
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      – SubjectFull: VAGAL tone
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      – SubjectFull: GASTROESOPHAGEAL reflux
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      – SubjectFull: DYSAUTONOMIA
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